Organization
PROGRESSIVE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HELEN A. KENT RRT (PRESIDENT)
(760) 448-4448
Entity
Organization
Contact information
Practice address
2720 LOKER AVE W, SUITE P, CARLSBAD, CA 92010-6604
(760) 448-4448
(760) 448-4449
Mailing address
2720 LOKER AVE W, SUITE P, CARLSBAD, CA 92010-6604
(760) 448-4448
(760) 448-4449
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
43639
CA
332BC3200X
Customized Equipment (DME)
43639
CA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
43639
CA
332BX2000X
Oxygen Equipment & Supplies (DME)
43639
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME00536F
—
CA
Enumeration date
01/26/2007
Last updated
07/20/2016
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